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Individual
DR. NATHAN ELDON MUMFORD
Active
Individual
DR. NATHAN ELDON MUMFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10532
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/01/2010
Last updated
06/22/2011
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